• Acts as a resource and role model to team members, which includes training/orienting, providing day-to-day work direction, and giving input on performance. • Assigns, monitors, and reviews progress, quality and accuracy of work, monitors productivity, maintains appropriate staffing levels, directs efforts and provides guidance on more complex issues. • Codes routine to complex procedures and diagnoses including hospital-based or surgery center surgical procedures using ICD, CPT, and HCPCS coding guidelines, procedures and protocols for government and commercial payers. • Meets or exceeds department quality and production standards. • Abstracts documentation to choose correct ICD, CPT, HCPCS codes according to standard coding guidelines, procedures and protocols. • Detects, reports and acts as a resource to assist in resolving billing compliance issues. • Responsible for processing denial management claims and addressing patient concerns. • Coordinates payer audit reviews and acts as a resource for coding-related audits. • Participates in various department projects including but not limited to researching new services, claim scrubbing, quality checks/assessing errors, presenting demonstrations, etc. • Performs calibration and troubleshooting procedures and escalates unresolved issues as needed.

• Code complex Inpatient records for a large teaching level health system

• Accurately deciphers charge error reasons and plans follow-up steps. • Identifies all billable services through review of all applicable data sources. • Reviews medical record documentation in the electronic health record and/or on paper. • Identifies, enters and posts CPT-4 and ICD-10 codes to the electronic health record. • Consults with physicians/ providers as needed to clarify any documentation in the record that is inadequate, ambiguous, or unclear for coding purposes. • Assists physicians/providers with questions regarding coding and documentation guidelines.

• Code and abstract medical records for inpatient hospital stays. • Maintain compliance with all coding guidelines and regulations. • Collaborate with clinical documentation and quality teams. • Monitor assigned work queues for timely record processing.